Kinzer, Shane

Kinzer, Shane is an individual health care provider with primary practice located at 1844 W Pullman Rd , Moscow ID 83843-4014. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kinzer, Shane can be contacted via phone (208) 883-1800.

Contact Information

Primary practice address
1844 W Pullman Rd Moscow ID 83843-4014
Phone: (208) 883-1800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 100626 Idaho

Profile Details

NPI number 1427755511
LBN Legal business name Kinzer, Shane
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2023
Last updated Jul 19th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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